“Nurse B, my bag leaks again! The other nurse A applied the bag just thirty minutes ago!” called Mr. Ahmed, a bed-ridden patient.
“Sigh! Look at the mess! Now I have to change a new bag again, the bed linens and your hospital clothes!” Nurse B grumbled as she changed the linens and the stoma bag…
Nurse Chen saw the patient tearing silently. She went toward him.
“Nurse Chen, see that window? If only I can walk! I would jump out of it!” he cried sadly.
“What is the point of ‘saving my life from cancer of the large intestine’, if my life is such a mess everyday!” he lamented the poor quality of life after operation.
That happened in the late 1980s. A small pioneering team of surgeons and nurses were tasked to look into the care of patients who were operated and had a stoma (<—see the images here) on their abdomen or ‘tummy’.
Those days stoma bags were a basic bag with zinc oxide adhesive (below). Very often it leaked and the fecal effluent spilled all over their clothes and bed linens. The skin around the stoma became excoriated or burned by the frequent contact with the excrements. It became inflamed and excruciatingly painful.
It was very depressing for the patients, and frustrating for the patient, home-carer and healthcare staff, too.
Upon discharge, some patients used cloth, new-papers, coconut shell, empty tins over their stoma to collect the effluents. Some created their own stoma bags (see below).
Self-made stoma bag for faecal effluent or discharge
Li Na passed by a house in a rural village. An unkempt, half-naked man was squatting over a drain outside a half-burned house.
The driver said, “he is a mentally-ill person. He was probably trying to cook some food.” A lady sitting next to Anna chuckled, “… and burning down his own house, crazy fella.”
Li Na was disappointed with the elderly lady. “But, but, this house is so near the hospital! He needs treatment!” Li Na exclaimed. “The police would not come and take him to the hospital because no one reported it,” the driver explained.
… Society has failed him. … Our mental health safety net has failed, …His family members have failed him and not gotten him treated. Li Na felt guilty too for not picking up the phone, as the team moved on.
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The above anecdote is an example and illustration of some neglected persons.
Covid-19 causes stress and potential mental disorders risks in society and work places as well. Safety net policies need to be enforced for these people at risk
class in session about assertiveness – Photo by ICSA on Pexels.com
I sat behind the class to listen to a class on cognitive behavioral therapy. My son was in the front row. The class was for parents as well as patients with mental disorders. The topic was on assertiveness.
Assertiveness is adopting a firm position in a disagreement without compromise. Assertiveness is not aggressiveness. I learned to respect him when he said no to something we were negotiating whether to do or not. It pleased me that he knew his limit on a certain issue. He had to learn how to manage daily happenings in order not to get upset emotionally.
Many things in life are beyond our control. We have control only over oneself. We can also choose to assert our stand, or ignore if it is none of our business!
It is a skill that can be learned and applied.
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“The duty we owe ourselves is greater than that we owe others.” ― Louisa May Alcott
Retirement age is steadily increasing in many countries, where many 60- year- olds are still healthy and productive. When knowledge and experiences are at a peak, wouldn’t it be a waste to put them into cold storage when they can offer real economic advantages? Will that mean fewer opportunities for the younger generations, fresh graduates, and new entrants to the job market? I never use the word “retire” on myself. But if I were to go back to compete in the job market, I would propose a half full-time equivalent (FTE) with a prorated salary. That way, the old people will still have sufficient time to rest and have time for their solitude time and hobbies. The fresh and younger people can be guided by these older mentors and strive forth in the competitive workforce, unhindered.